• The Korean Journal of Pain
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• v.9 no.1
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• pp.105-108
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• 1996

Localized or radiating pain in the arm and shoulder joint may result after faulty alignment causing compression or tension on nerves, blood vessels, or supporting soft tissues. The critical site of faulty alignment is the quadrangular space in the axilla bounded by the teres major, teres minor, long head of triceps, and humerus. The axillary nerve emerges through this space to supply the deltoid and teres minor. The activity of the trigger point on teres minor compressing the axillary nerve causes pain to develop through the area of sensory distribution of cutaneous branch of the axillary nerve. Relieving compression on the axillary nerve and suprascapular nerve is the key point to relieving the pain. Spasm of the supraspinatus and infraspinatus compressing the suprascapular nerve caused pain to develop in the shoulder joint and scapular area. We treated those patients experiencing such pain with local anesthetic infiltration or I-R laser stimulation on the identified trigger points.

• Korean Journal of Veterinary Service
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• v.30 no.1
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• pp.33-42
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• 2007

Fowl cholera(FC), which has been classified as reportable animal disease in Korea, occurred in the backyard farm located in Chungju, Chungbuk province. The farm was not ordinary domestic poultry farm but backyard farm with main cultivation of fruits. The farmer reported unusual mortality of chickens which were grazed in his own fruit farm without any poultry house. There was a lots of opportunities to contact with wild animals including wild birds freely. Clinical signs observed in the chickens were torticolis, mucous excretion from mouth and greenish diarrhea. On the necropsy we found multifocal necrosis on the surface of liver, hemorrhages in the epicardium and ovary and mucopurulent exudates in the joint. The causative agents was isolated from the liver of chickens collected from the farms and identified as Pasteurella multocida using biochemical tests of bacteria. Also, the isolated bacteria were inoculated into specific pathogen free chickens to evaluate the pathogenicity. High mortality and similar pathological lesions compared to those of chickens died in the farm were observed. We report the first case of fowl cholera of the chickens in Korea and further studies are needed to evaluate the serotype, genotype and pathogenicity of isolated Pasteurella multocida.

• The Korean Journal of Pain
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• v.28 no.2
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• pp.105-108
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• 2015

Background: The most definitive diagnosis of neck pain caused by facet joints can be obtained through cervical medial branch blocks (CMBBs). However, intravascular injections need to be carefully monitored, as they can increase the risk of false-negative blocks when diagnosing cervical facet joint syndrome. In addition, intravascular injections can cause neurologic deficits such as spinal infarction or cerebral infarction. Digital subtraction angiography (DSA) is a radiological technique that can be used to clearly visualize the blood vessels from surrounding bones or dense soft tissues. The purpose of this study was to compare the rate of detection of intravascular injections during CMBBs using DSA and static images obtained through conventional fluoroscopy. Methods: Seventy-two patients were included, and a total of 178 CMBBs were performed. The respective incidences of intravascular injections during CMBBs using DSA and static images from conventional fluoroscopy were measured. Results: A total of 178 CMBBs were performed on 72 patients. All cases of intravascular injections evidenced by the static images were detected by the DSAs. The detection rate of intravascular injections was higher from DSA images than from static images (10.7% vs. 1.7%, P < 0.001). Conclusions: According to these findings, the use of DSA can improve the detection rate of intravascular injections during CMBBs. The use of DSA may therefore lead to an increase in the diagnostic and therapeutic value of CMBBs. In addition, it can decrease the incidence of potential side effects during CMBBs.

• Journal of Korean Society of Steel Construction
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• v.13 no.1
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• pp.9-18
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• 2001

many steel tubular truss as roof structures are used of the large span structures Steel tubular sectioned truss has the structural merits in compared with other sections such as H, L-shape sections However it occurs local buckling at the joint of branch in truss and it makes the deterioration of loading capacity Loading capacity and deformation characteristics of truss joints are very complicate so it is very hard to predict exact solution of them Therefore this thesis dealt with T-type joints of steel circular hollow sectioned truss. A series of experimental scheme were planned and mainly experimental parameters were : ratio of diameter of branch-diameter of main chord(d/D). diameter-thickness(T/D) of main chord. In this paper predicted yield load capacity using by closed ring analysis method additionally compared with that of suggested by closed ring analysis method additionally compared with that of suggested by other countries.

• Geomechanics and Engineering
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• v.13 no.3
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• pp.431-446
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• 2017

Rock bridges in rock masses would increase the bearing capacity of Non-persistent discontinuities. In this paper the effect of ratio of rock bridge surface to joint surface, rock bridge shape and normal load on failure behaviour of intermittent rock joint were investigated. A total of 42 various models with dimensions of $15cm{\times}15cm{\times}15cm$ of plaster specimens were fabricated simulating the open joints possessing rock bridge. The introduced rock bridges have various continuities in shear surface. The area of the rock bridge was $45cm^2$ and $90cm^2$ out of the total fixed area of $225cm^2$ respectively. The fabricated specimens were subjected to shear tests under normal loads of 0.5 MPa, 2 MPa and 4 MPa in order to investigate the shear mechanism of rock bridge. The results indicated that the failure pattern and the failure mechanism were affected by two parameters; i.e., the ratio of joint surface to rock bridge surface and normal load. So that increasing in joint area in front of the rock bridge changes the shear failure mode to tensile failure mode. Also the tensile failure change to shear failure by increasing the normal load.

• Earthquakes and Structures
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• v.14 no.6
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• pp.525-535
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• 2018

This study presents a new beam-column model comprising material nonlinearity and joint flexibility to predict the nonlinear response of reinforced concrete structures. The nonlinear behavior of connections has an outstanding role on the nonlinear response of reinforced concrete structures. In presented research, the joint flexibility is considered applying a rotational spring at each end of the member. To derive the moment-rotation behavior of beam-column connections, the relative rotations produced by the relative slip of flexural reinforcement in the joint and the flexural cracking of the beam end are taken into consideration. Furthermore, the considered spread plasticity model, unlike the previous models that have been developed based on the linear moment distribution subjected to lateral loads includes both lateral and gravity load effects, simultaneously. To confirm the accuracy of the proposed methodology, a simply-supported test beam and three reinforced concrete frames are considered. Pushover and nonlinear dynamic analysis of three numerical examples are performed. In these examples the nonlinear behavior of connections and the material nonlinearity using the proposed methodology and also linear flexibility model with different number of elements for each member and fiber based distributed plasticity model with different number of integration points are simulated. Comparing the results of the proposed methodology with those of the aforementioned models describes that suggested model that only uses one element for each member can appropriately estimate the nonlinear behavior of reinforced concrete structures.

• Computers and Concrete
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• v.18 no.2
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• pp.235-266
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• 2016

A rock mass containing non-persistent joints can only fail if the joints propagate and coalesce through an intact rock bridge. Shear strength of rock mass containing non-persistent joints is highly affected by the both, mechanical behavior and geometrical configuration of non-persistent joints located in a rock mass. Existence of rock joints and rock bridges are the most important factors complicating mechanical responses of a rock mass to stress loading. The joint-bridge interaction and bridge failure dominates mechanical behavior of jointed rock masses and the stability of rock excavations. The purpose of this review paper is to present techniques, progresses and the likely future development directions in experimental and numerical modelling of a non-persistent joint failure behaviour. Such investigation is essential to study the fundamental failures occurring in a rock bridge, for assessing anticipated and actual performances of the structures built on or in rock masses. This paper is divided into two sections. In the first part, experimental investigations have been represented followed by a summarized numerical modelling. Experimental results showed failure mechanism of a rock bridge under different loading conditions. Also effects of the number of non-persistent joints, angle between joint and a rock bridge, lengths of the rock bridge and the joint were investigated on the rock bridge failure behaviour. Numerical simulation results are used to validate experimental outputs.

• Journal of Korean Medicine Rehabilitation
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• v.33 no.1
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• pp.13-29
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• 2023

Objectives To evaluate the evidence supporting the effectiveness of acupuncture for facet joint syndrome. Methods We conducted search across 9 electronic databases (PubMed, EMBASE, Cochrane CENTRAL (CENTRAL), KoreaMed, Kmbase, Koreanstudies Information Service System (KISS), ScienceOn, China National Knowledge Infrastructure (CNKI), and Wanfang) to find clinical trials that used acupuncture as treatment for facet joint syndrome. The methodological quality of randomized controlled clinical trials (RCTs) were assessed using the Cochrane Risk of Bias (RoB) tool, while non-randomized controlled clinical trials (nRCTs) were assessed using the Cochrane Risk of Bias Assessment tool for Non-randomized Study (RoBANS) tool. Results Nine RCTs and one nRCT met our inclusion criteria. Fire needle was more effective than medial branch block in terms of visual analogue scale (VAS) after 1 month (p=0.02). Also, Fire needle was more effective than Ibuprofen in terms of VAS and oswestry disability index (ODI) (p<0.05). However, in the rest of the study results, the intervention group did not show a statistically significant difference than the control group. Conclusions Although our review found encouraging but limited evidence of acupuncture for facet joint syndrome, most of the studies included in the analysis were evaluated as methodologically high risk of bias. From now on further well-designed RCTs should be encouraged.

• The Korean Journal of Pain
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• v.18 no.2
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• pp.151-155
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• 2005

Background: A significant number of patients complain of persistent pain or neurologic symptoms after lower back surgery. It is reported that facet joint pain plays a role in failed back surgery syndrome. To the best of our knowledge, there are few studies that have investigated the outcome of radiofrequency neurotomy in the patients with failed back surgery syndrome. Methods: The study group was composed of thirteen patients who were operated on due to their low back pain, and they displayed no postoperative improvement. All the patients underwent double diagnostic block of the lumbar medial branch of the dorsal rami with using 0.5% bupivacaine. The patients who revealed a positive response to the double diagnostic block were then treated with percutaneous radiofrequency neurotomy. The effect on their pain was evaluated with using a 4 point Likert scale. Results: Eleven patients revealed a positive response to the double diagnostic block. Ten patients were given percutaneous radiofrequency neurotomy. Nine patients showed sustained pain relief for 3 months after the percutaneous radiofrequency neurotomy. Conclusions: We found lumbar facet joint syndrome in the patients with failed back surgery syndrome by performing double diagnostic block and achieving pain relief during the short term follow-up after percutaneous radiofrequency neurotomy of the lumbar zygapophysial joints. This suggested that facet joint pain should be included in failed back surgery syndrome.

• Geomechanics and Engineering
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• v.13 no.4
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• pp.535-570
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• 2017

There are only few cases where cause and location of failure of a rock structure are limited to a single discontinuity. Usually several discontinuities of limited size interact and eventually form a combined shear plane where failure takes place. So, besides the discontinuities, the regions between adjacent discontinuities, which consist of strong rock and are called material or rock bridges, are of utmost importance for the shear strength of the compound failure plane. Shear behaviour of persistent and non-persistent joint are different from each other. Shear strength of rock mass containing non-persistent joints is highly affected by mechanical behavior and geometrical configuration of non-persistent joints located in a rock mass. Therefore investigation is essential to study the fundamental failures occurring in a rock bridge, for assessing anticipated and actual performances of the structures built on or in rock masses. The purpose of this review paper is to present techniques, progresses and the likely future development directions in experimental testing of non-persistent joint failure behaviour. Experimental results showed that the presence of rock bridges in not fully persistent natural discontinuity sets is a significant factor affecting the stability of rock structures. Compared with intact rocks, jointed rock masses are usually weaker, more deformable and highly anisotropic, depending upon the mechanical properties of each joint and the explicit joint positions. The joint spacing, joint persistency, number of rock joint, angle of rock joint, length of rock bridge, angle of rock bridge, normal load, scale effect and material mixture have important effect on the failure mechanism of a rock bridge.